NUR2407 Pharmacology Module 1 Q&A.

NUR2407 Pharmacology Module 1 Q&A. Question 1 A client reports that he has been swallowing his nitroglycerin instead of leaving it under is tongue. Teaching is needed. What can happen if sublingual medications are swallowed? Selected Answer: Gastric acid may inactivate the medication. Answers: Gastric acid may inactivate the medication. The medication effects will simply be delayed. An esophageal burn may occur. The medication effects will be increased due to the first pass effect.  Question 2 A client who takes Theo-24 (theophylline) for asthma is experiencing theophylline toxicity. Which of these may be a contributing factor? (Select all that apply.) Selected Answers: Forgetfulness causing double dosing Chewing the capsule Cirrhosis with gallstones Answers: Forgetfulness causing double dosing Chewing the capsule Cirrhosis with gallstones First pass effect  Question 3 A laboring mother wants to know why pain medication is not advisable. What rationales could the nurse offer to explain this? (Select all that apply.) Selected Answers: The liver of a fetus is not well developed so the effects of sedation could linger in the fetus. Epidural anesthesia offers an alternative that will not harm the fetus. The blood brain barrier of a fetus is not fully developed so the fetus is at risk for sedation. Answers: The liver of a fetus is not well developed so the effects of sedation could linger in the fetus. Epidural anesthesia offers an alternative that will not harm the fetus. The fetus will not be able to eliminate the medication until it has its first stool. The blood brain barrier of a fetus is not fully developed so the fetus is at risk for sedation.  Question 4 A malnourished elderly client has a low serum albumin level. What is the implication of this finding? (select only 1 answer) Selected Answers: Less protein binding will occur and more medication will be free to bind with target receptors. This may cause excessive effects. Answers: Protein insufficiency can lead to loss of metabolizing enzymes and consequential decrease in drug levels. Less protein binding will occur and more medication will be free to bind with target receptors. This may cause excessive effects. Low serum albumin levels will lead to receptor disintegration so more medication will be needed. Blood brain crossover will be impaired. Albumin is a lipid. More medication will be needed.  Question 5 If a medication is ordered by its trade name but the pharmacy sends up a medication that has a different, unfamiliar name, what should the nurse do? Selected Answer: Look up the generic name of the ordered drug to confirm that they are the same medication. Answers: Have a peer confirm that they are the same medication. Hold the medication until the trade-name version is brought up Look up the generic name of the ordered drug to confirm that they are the same medication. Use the patient's supply of medication from home.  Question 6 If phenobarbital has a four day half-life and a client accidently took 200mg of the drug on Tuesday morning and no intervention occurred, how much medication will remain in the bloodstream of that client on Thursday morning? Selected Answer: 150m g Answers: 150m g 75mg 100 mg 50mg  Question 7 The nurse is preparing to administer an oral medication and wants to ensure a rapid drug action. Which form of the medication will the nurse administer? Selected Answer: Liquid Suspension Answers: Tablet Capsule Liquid Suspension Enteric Coated Pill  Question 8 The nurse is prioritizing what step to take first when beginning to care for a client. Which step should occur first? Selected Answer: Check the patient's chart and last set of vital signs. Answers: Introduce oneself and confirm the patient's identity. Check the patient's chart and last set of vital signs. Prepare the morning medications. Assess the patient and document the findings.  Question 9 The nurse is wondering if advocacy for a change to oral medication instead of an IV route of administration is appropriate. What rationale for advocacy would be appropriate? Selected Answer: A serious infection or injury may start at the site of the IV insertion. Answers: A serious infection or injury may start at the site of the IV insertion. Oral medications are more completely absorbed than IV medications. IV medications should only be given to clients who cannot swallow. IV medications are more vulnerable to the first pass effect than oral medications.  Question 10 When entering the client's room for assessment purposes, which of these actions would be questionable? Selected Answer: The nurse sharing his or her date of birth with the patient Answers: The nurse sharing his or her date of birth with the patient Knocking on the door Asking the client to share his or her date of birth and name Handwashing  Question 11 When the nurse checks the MAR, pulls out the needed medication, inserts them in a common cup, signs the medication off, then gives them to the patient after checking name, date of birth and allergies what is that nurse doing?